Jessica Castillo, RD
Dietitian, Registered in Troy, MI. Individual provider (NPI-1).
NPI number1750151692
StatusActive
Last updated in NPPESJan 2, 2024
Details
- NPI
- 1750151692
- Entity type
- Individual (NPI-1)
- Name
- Jessica Castillo
- Credential
- RD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 2, 2024
- Certification date
- Jan 2, 2024
- Last updated
- Jan 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | – | – | Yes |
Practice location
1934 Livernois RdTroy, MI 48083-1732
Phone 586-876-0504
Mailing address
1934 Livernois RdTroy, MI 48083-1732
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